Healthcare Provider Details

I. General information

NPI: 1013337377
Provider Name (Legal Business Name): CHIH-YU S KUO PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: CHIH-YU SHAW PHARMD

II. Dates (important events)

Enumeration Date: 04/24/2014
Last Update Date: 04/24/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5425 W SPRING CREEK PKWY SUITE 190
PLANO TX
75024-4236
US

IV. Provider business mailing address

5425 W SPRING CREEK PKWY SUITE 190
PLANO TX
75024-4236
US

V. Phone/Fax

Practice location:
  • Phone: 214-291-5087
  • Fax: 972-608-2933
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number48903
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: